Organization Active NPI

Castro Valley Residential Care Home LLC

  • Assisted Living Facility
  • Castro Valley, CA
National Provider Identifier
1124807730
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CASTRO VALLEY RESIDENTIAL CARE HOME LLC
Practice address
1932 Grove Way
Castro Valley, CA 94546-6956
Phone
(510) 789-7064
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ma Ohnmar Shwe, LVN
Title
Managing Director
Phone
(510) 789-7064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1932 Grove Way
Castro Valley, CA 94546-6956

Mailing address

1932 Grove Way
Castro Valley, CA 94546-6956
Phone (510) 789-7064

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1124807730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 GROVE WAY",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466956",
            "telephone_number": "510-789-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 GROVE WAY",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466956",
            "telephone_number": "510-789-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTRO VALLEY RESIDENTIAL CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "SHWE",
        "authorized_official_first_name": "MA OHNMAR",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "510-789-7064",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.